Show:
PHYSICIANS
LAWS
WHO DO YOU CALL?
IT'S NOT MY FAULT
ALPHABET SOUP
and POT LUCK
100

Can we provide meals to physicians in a lounge?

What is Yes?

100
This protects people who report unethical or illegal behavior from retaliation or retribution.
What is the Whistle Bower's Act?
100
This is who you can call to report false documentation, or billing for visits that did not happen.
Who is the Compliance Officer?
100

You are committing this if you bill for a service that you did not perform.

What is fraud?

100

OMIG

What is the Office of Medicaid and Medicare Inspector General?

200

Is there a limit to how much the meals can be worth?

What is $35/per day?

200
This makes it illegal for people to submit false statements or documentation in order to collect money from the government.
What is the False Claims Act?
200

This is who you call to report workplace harassment, acts of discrimination or theft of your personal property.

Who is the Human Resource Director?

200

It's a violation of the Compliance Policy to do this when you are aware of fraudulent activity.

What is nothing? (What is to not report it?)

200

PHI

What is Protected Health Information?

300

Can we give a physician a gift card to his favorite local restaurant if we log the value on the non monetary compensation log?

What is No?

300
Makes it a crime to improperly avoid the obligation to pay back money owed to the Government. It prohibits improper retention of overpayment, once discovered.
What is the Fraud Enforcement and Recovery Act, or "FERA?"
300

This is who you call to report that you accidentally put a dent in a parked company car.

Who is your supervisor?

300

Receiving a large gift in exchange for referrals.

What is a kickback?

300

CMP

What is a civil monetary penalty?

400

Our new OB/GYN has asked for a lab coat that is half pink and hapf blue. Can we get it for her?

What is No?

400

What is HIPAA?

What is the Health Insurance Portability and Accountability Act?

400

This is who you call if you are asked to falsify documents so that we look good at our next audit.

Who is the compliance officer?

400

You are committing this if you disclose PHI to someone outside the facility without an authorization.

What is an unauthorized disclosure?

400

CMS

What is the Center for Medicare and Medicaid Services?

500

One of the maintenance guys was talking about working this weekend to help a physician move, should I ask more questions?

What is Yes?

500

The Social Security amendments of 1972 included the original anti-kickback legislation the legislation stated the statute was to prevent fraud and abuse from federal healthcare programs. A criminal statute that provides exchange of anything of value in an effort to induce or reward the referral of federal healthcare program business. If fined up to $25,000 and imprisonment up to five years

What is Anti-Kickback Statute?

500

This is who you call if you are asked to disclose PHI outside of treatment payment or operations without an authorization?

What is the Privacy Officer?

500

This is what you have if you have an unauthorized acquisition, access, use or disclosure of protected health information without demonstrating that there is a low probability that the protected health information has been compromised based on a risk assessment of 4 factors. 

What is a breach?

500

EMTALA

EMTALA is the statute that was included in consolidated Osman reconciliation act of 1985. This act is in response to increasing concern is that hospitals were denying emergency care to indigent are uninsured patients known as patient dumping.